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首页> 外文期刊>The journal of clinical psychiatry >PTSD comorbidity and suicidal ideation associated with PTSD within the Ohio Army National Guard.
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PTSD comorbidity and suicidal ideation associated with PTSD within the Ohio Army National Guard.

机译：俄亥俄州陆军国民警卫队内与PTSD相关的PTSD合并症和自杀意念。

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OBJECTIVE: To study the relation between posttraumatic stress disorder (PTSD) psychiatric comorbidity and suicidal ideation in a representative sample of Ohio Army National Guard soldiers. METHOD: Using retrospective data collected on the telephone from a random sample of 2,616 National Guard soldiers who enrolled in a 10-year longitudinal study (baseline data collected November 2008-November 2009), we examined (1) the prevalence of other psychopathologies among those with DSM-IV-diagnosed PTSD compared to those without PTSD and (2) the association between PTSD comorbidity and suicidal ideation (reporting thoughts of being better off dead or hurting themselves). All analyses were carried out using logistic regression. RESULTS: Of guard members with PTSD in the last year, 61.7% had at least 1 other psychopathology; 20.2% had at least 2 other co-occurring conditions. The most common co-occurring psychopathology was depression. While those with PTSD overall were 5.4 (95% CI, 3.8-7.5) times more likely to report suicidality than those without PTSD, those who had at least 2 additional conditions along with PTSD were 7.5 (95% CI, 3.0-18.3) times more likely to report suicidal ideation at some point in their lifetime than those with PTSD alone. CONCLUSIONS: Soldiers with PTSD were at increased risk for suicidality, and, among those with PTSD, those with at least 2 additional conditions were at the highest risk of suicidal ideation. Future research should address the mechanisms that contribute to multimorbidity in this population and the appropriate treatment methods for this high-risk group.
机译：目的：在俄亥俄州陆军国民警卫队士兵的代表性样本中研究创伤后应激障碍（PTSD）精神病合并症与自杀意念之间的关系。方法：使用电话收集的回顾性数据，该数据是从2616名参加10年纵向研究的国民警卫队士兵中随机抽取的（基线数据是2008年11月至2009年11月收集的），我们调查了（1）其他心理疾病的患病率与没有PTSD的患者相比，经DSM-IV诊断的PTSD和（2）PTSD合并症与自杀意念之间的关联（报告了更好地摆脱死亡或伤害自己的想法）。所有分析均使用逻辑回归进行。结果：在去年的PTSD警卫人员中，有61.7％的人至少有1种其他的心理病理学; 20.2％有至少2个其他同时发生的条件。最常见的同时发生的心理病理学是抑郁症。虽然总体上有PTSD的人比没有PTSD的人有自杀倾向的可能性高5.4（95％CI，3.8-7.5）倍，但与PTSD一起至少有2个附加条件的人的自杀倾向是7.5（95％CI，3.0-18.3）比仅使用PTSD的人更有可能在其一生中的某个时刻报告自杀意念。结论：PTSD的士兵有自杀倾向的风险增加，而在PTSD的士兵中，患有至少两种其他情况的士兵自杀意念的风险最高。未来的研究应针对导致该人群多发病的机制以及针对该高风险人群的适当治疗方法。

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